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Westminster Village Health

Details

Type of Ownership Non profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 61
Continuing Care? No
Resident Council? Yes
Family Council? Yes
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 10/06/2011

Date of last standard health inspection: 10/06/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in DE: 7
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in DE: 0 - 15

Inspection, 01/03/2011

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/03/2011 02/01/2012 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/03/2011 02/01/2012 2 Few
Have a program that investigates, controls and keeps infection from spreading. 01/03/2011 02/01/2012 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 01/03/2011 02/01/2012 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/03/2011 02/01/2012 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/03/2011 02/01/2012 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/03/2011 02/01/2012 2 Some
Ensure residents maintain acceptable nutritional status. 01/03/2011 02/01/2012 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 01/03/2011 02/01/2012 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/03/2011 02/01/2012 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 01/03/2011 02/01/2012 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Upon the death of a resident, convey the resident 01/03/2011 02/01/2012 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/03/2011 02/01/2012 2 Few

Inspection, 00/06/2010

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 00/06/2010 01/05/2012 2 Some
Have a program that investigates 00/06/2010 01/05/2012 Some controls and keeps infection from spreading.
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/06/2010 01/05/2012 2 Few
Store 00/06/2010 01/05/2012 and serve food in a safe and clean way. cook
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 00/06/2010 01/05/2012 2 Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 00/06/2010 01/05/2012 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/06/2010 01/05/2012 2 Some
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 00/06/2010 01/05/2012 2 Few
At least once a month 00/06/2010 01/05/2012 Few have a licensed pharmacist review each resident's
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/06/2010 01/05/2012 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/06/2010 01/05/2012 2 Few
Ensure residents maintain acceptable nutritional status. 00/06/2010 01/05/2012 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/06/2010 01/05/2012 2 Few
Ensure residents maintain acceptable nutritional status. 00/06/2010 01/05/2012 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/06/2010 01/05/2012 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 00/06/2010 01/05/2012 2 Few
Develop a complete care plan that meets all the resident's needs 00/06/2010 01/05/2012 Few with timetables and actions that can be measured.
Allow residents the right to participate in the planning or revision of care and treatment. 00/06/2010 01/05/2012 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/06/2010 01/05/2012 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/06/2010 01/05/2012 2 Few

Inspection, 01/01/2009

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints 01/01/2009 01/09/2010 Some unless needed for medical treatment.
Keep each resident free from drugs that restrain them 01/01/2009 01/09/2010 Some unless needed for medical treatment.
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 01/01/2009 01/09/2010 2 Few

Inspection, 01/04/2006

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/04/2006 00/09/2007 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 01/04/2006 00/09/2007 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 00/03/2005

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 00/03/2005 00/02/2008 2 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/03/2005 00/02/2008 1 Some
Have a program that investigates, controls and keeps infection from spreading. 00/03/2005 00/02/2008 2 Some
Have enough outside ventilation via a window or mechanical ventilation, or both. 00/03/2005 00/02/2008 1 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 00/03/2005 00/02/2008 2 Few
Store, cook, and serve food in a safe and clean way. 00/03/2005 00/02/2008 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 00/03/2005 00/09/2008 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/03/2005 00/02/2008 2 Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 00/03/2005 00/02/2008 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/03/2005 00/02/2008 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/03/2005 00/02/2008 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/03/2005 00/02/2008 2 Few
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 00/03/2005 00/02/2008 2 Few
Ensure residents maintain acceptable nutritional status. 00/03/2005 00/02/2008 3 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 00/03/2005 00/02/2008 3 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 00/03/2005 00/02/2008 2 Few
Provide routine and 24-hour emergency dental care for each resident. 00/03/2005 00/02/2008 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/03/2005 00/02/2008 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 00/03/2005 00/02/2008 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/03/2005 00/02/2008 2 Some

Inspection, 01/09/2004

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 01/09/2004 02/02/2005 Some controls and keeps infection from spreading.
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 01/09/2004 02/02/2005 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/09/2004 02/02/2005 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. 01/09/2004 02/02/2005 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 01/09/2004 02/02/2005 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 02/04/2002

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 02/04/2002 03/00/2003 Few complete and organized clinical records on each re
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 02/04/2002 03/00/2003 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/04/2002 03/00/2003 2 Few
Assist those residents who need help with eating/drinking 02/04/2002 03/00/2003 Few grooming and personal and oral hygiene.

Inspection, 00/08/2001

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. 00/08/2001 00/08/2002 2 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in DE Golden Living Center, Asheville
RN Staff Only1 N/A N/A 5 out of 5 stars
Total Number of Residents 86 87 55
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 4 hours 28 minutes 1 hour 49 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 3 hours 32 minutes 1 hour 20 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 3 hours 27 minutes 30 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 5 hours 9 minutes 2 hours 28 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 10/05/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 10/05/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in DE: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in DE: 0 - 0

Inspection, 00/09/2011

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 00/09/2011 02/01/2012 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/09/2011 02/01/2012 2 Some
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 00/09/2011 02/01/2012 2 Few

Inspection, 00/05/2010

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/05/2010 03/01/2010 1 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 00/05/2010 03/01/2010 1 Some
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 00/05/2010 03/01/2010 1 Some

Inspection, 00/03/2005

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 00/03/2005 03/00/2007 2 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 00/03/2005 03/00/2007 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/03/2005 03/00/2007 1 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 00/03/2005 03/00/2007 1 Many
Resident room doors of proper design and width. 00/03/2005 03/00/2007 2 Many
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 00/03/2005 03/00/2007 1 Many
 

1175 Mckee Road
Dover, DE 19904

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